Re: Protein Sparing Modified Fasts

[Guest guest]

Meenie

Protein Sparing Modifed Fasts can be done in both liquid and food form.

In a hospital setting (usually outpatient), they are frequently done on

the morbidly obese where the weight has become life threatening. Carbs

are usually limited to anywhere from 20 to 50 grams per day; not much

difference from Atkins.

It is a diet usually done for a short period (up to 4 months with

liquids), however, there are patients who continue on a modified form as

part of their lifestyle.

Dr. Atkins didn't start the Atkins diet. He just managed to market it

well. Same as RIchard Deal A Meal plan. Almost an exact

duplicate of the ADA exchange list.

Gail

I try to take one day at a time but sometimes several days attack me at

once.

[Guest guest]

I guess I'll have to pull out our Dietary Policies and Planners at work.

Everything I found on the internet about Protein Sparing Modified Fasts say

they are liquid protein diets.

While Atkins does limit carbs, it doesn't limit calories, you're required to

eat vegetables (just not the starchy ones like potatoes), and you do add

carbs as you approach your weight goal .

The Protein Sparing Modified fast is just that... a fast. You're very

limited in what you consume - usually a high protein drink.

Example of what I found on the 'net regarding Protein Sparing Modified

Fasts:

" Weight Management

Protein Sparing Modified Fast

This program provides a safe and effective way to lose weight quickly. The

program takes you through all of the phases of weight management, from the

initial weight loss to maintenance.

Qualifications:

40 pounds or more overweight

Female BMI of 28 or above

Male BMI of 30 or above

Medical Evaluation Provided:

Medical history and examination

Laboratory measurements

EKG

Program Components:

Rapid weight loss of 2-5 lbs. per week

Use of a medically formulated, very low-calorie, low-carbohydrate and

high-protein beverage

Weekly medical monitoring by clinic staff

Weekly classes on behavioral change or nutrition led by licensed

professionals

Onsite supervised exercise every two weeks

Monthly labs and physician visits "

> Meenie

>

> Protein Sparing Modifed Fasts can be done in both liquid and food form.

> In a hospital setting (usually outpatient), they are frequently done on

> the morbidly obese where the weight has become life threatening. Carbs

> are usually limited to anywhere from 20 to 50 grams per day; not much

> difference from Atkins.

>

> It is a diet usually done for a short period (up to 4 months with

> liquids), however, there are patients who continue on a modified form as

> part of their lifestyle.

[Guest guest]

As I mentioned before, Protein Sparing Modified Fasts can be liquid

drinks OR food. I''ve worked with patients doing both. If using food,

the diet is Atkins (or rather, Atkins is a PSMF). Goals of both are to

spare protein or muscle mass while losing weight; this is done by

limiting carb intake. It's not a true fast (hence the word Modifed

Fasting) as in true fasting, little or no nutrition is consumed and the

body loses both fat and muscle mass.

Loss of muscle mass causes lowering of metabolic rate and if continued

too long, eventually death from organ failure will occur.

Gail

I try to take one day at a time but sometimes several days attack me at

once.

[Guest guest]

Let me ask you this, then. When using an Atkins-like diet during a PSMF, do

you limit the intake of food? Because on the actual Atkins diet we can eat

all day if we want. We have desserts made with cream cheese and splenda. We

can have all the veggies like brocolli, cauliflower, spinach, etc and raw

salads with real dressing (no low or no fat as they have carbs added) and/or

butter or cheese. IE: we can eat all day as long as we stay away from the

carbs. Another reason the diet works so well for people who like to eat.

Meenie

> As I mentioned before, Protein Sparing Modified Fasts can be liquid

> drinks OR food. I''ve worked with patients doing both. If using food,

> the diet is Atkins (or rather, Atkins is a PSMF). Goals of both are to

> spare protein or muscle mass while losing weight; this is done by

> limiting carb intake. It's not a true fast (hence the word Modifed

> Fasting) as in true fasting, little or no nutrition is consumed and the

> body loses both fat and muscle mass.

>

> Loss of muscle mass causes lowering of metabolic rate and if continued

> too long, eventually death from organ failure will occur.

>

> Gail

>

> I try to take one day at a time but sometimes several days attack me at

> once.

>

>

>

>

>

[Guest guest]

I am seeing so much on this Atkins ( or similar) diets. I have always been

told the best way to deal with Diabetes is to follow the exchange diets. The

calorie amount depends on the individual and whether they have to lose weight

or not. Years ago the exchange diets may of been boring. But with all the

products on the market you can have a variety of things. I follow 1200

calories, as I have to lose about 40 pounds. I find a lot of things that fit

into this diet. I do not find it boring, and I am satisfied with the things I

get to eat. This is my opinion. It works for me. It may not work for

everyone. But I believe with some effort the exchange diets can be easy and

enjoyable. What is the big attraction and benefits to this Atkins diet?

Suggestions and advice please!

[Guest guest]

Yes, I am checking my blood levels. In the morning it may be around 133, but

after my meds it starts to go down and stays at normal levels (between 90 and

110) all day and evening. I love vegetables, so the 1200 calorie diet is

working great. I eat the amounts suggested for my carbs and proteins and

fruits, and fill in with lots of vegetables. I think these readings are

great considering a month ago I had levels of over 444 with a A1C of 15.5.

[Guest guest]

Yes, when I counsel folks on a Protein Sparing Modified Fast, they can

eat all day if they want to. In fact, because ketosis tends to suppress

appetite, I have more trouble getting them to consume adequate protein

rather than the other way round.

The diet program I use allows all meats, fish, poultry products, cheese,

eggs, all the vegies you mentioned plus many more, real salad dressing,

real mayonnaise, real butter, cream cheese, etc. An increased emphasis

on sugar free fluids due to the diuresing effect of the PSMF.

See? No difference.

Gail

I try to take one day at a time but sometimes several days attack me at

once.

Let me ask you this, then. When using an Atkins-like diet during a PSMF, do

you limit the intake of food? Because on the actual Atkins diet we can eat

all day if we want. We have desserts made with cream cheese and splenda. We

can have all the veggies like brocolli, cauliflower, spinach, etc and raw

salads with real dressing (no low or no fat as they have carbs added) and/or

butter or cheese. IE: we can eat all day as long as we stay away from the

carbs. Another reason the diet works so well for people who like to eat.

Meenie

> As I mentioned before, Protein Sparing Modified Fasts can be liquid

> drinks OR food. I''ve worked with patients doing both. If using food,

> the diet is Atkins (or rather, Atkins is a PSMF). Goals of both are to

> spare protein or muscle mass while losing weight; this is done by

> limiting carb intake. It's not a true fast (hence the word Modifed

> Fasting) as in true fasting, little or no nutrition is consumed and the

> body loses both fat and muscle mass.

>

> Loss of muscle mass causes lowering of metabolic rate and if continued

> too long, eventually death from organ failure will occur.

>

> Gail

>

> I try to take one day at a time but sometimes several days attack me at

> once.

>

>

>

>

>

[Guest guest]

I am on 500mg of glucophage and 2.5 mg of glucotrol XL in the am with

breakfast. I take another 500mg of glucophage with my evening meal. My test

after breakfast does not change much till my meds kick in a few hour later.

My tests after lunch are around 110. My test after dinner is around 96.

[Guest guest]

Sounds delicious

Meenie

> Yes, when I counsel folks on a Protein Sparing Modified Fast, they can

> eat all day if they want to. In fact, because ketosis tends to suppress

> appetite, I have more trouble getting them to consume adequate protein

> rather than the other way round.

>

> The diet program I use allows all meats, fish, poultry products, cheese,

> eggs, all the vegies you mentioned plus many more, real salad dressing,

> real mayonnaise, real butter, cream cheese, etc. An increased emphasis

> on sugar free fluids due to the diuresing effect of the PSMF.

>

> See? No difference.

>

> Gail

>

> I try to take one day at a time but sometimes several days attack me at

> once.

>

>

>

>

[Guest guest]

Are you checking your blood sugars after you eat? Thats what the big deal

is . And a 1200 cal ada diet is a pretty low cal diet - you aren't bored

with it? I started with a 1500 cal ada exchange diet and was hungry a lot of

the time.

Anyway, the problem with it was that I found it didn't control my bg's well

at all. I discovered later that was due to the number of carbs it allows.

On atkins I eat all I want, when I want and my bg's are normal.

Meenie

> I am seeing so much on this Atkins ( or similar) diets. I have always been

> told the best way to deal with Diabetes is to follow the exchange diets.

The

> calorie amount depends on the individual and whether they have to lose

weight

> or not. Years ago the exchange diets may of been boring. But with all

the

> products on the market you can have a variety of things. I follow 1200

> calories, as I have to lose about 40 pounds. I find a lot of things that

fit

> into this diet. I do not find it boring, and I am satisfied with the

things I

> get to eat. This is my opinion. It works for me. It may not work for

> everyone. But I believe with some effort the exchange diets can be easy

and

> enjoyable. What is the big attraction and benefits to this Atkins diet?

> Suggestions and advice please!

>

>

>

>

[Guest guest]

So you've been following this for a month?

You've done great, you're right. BG's of 444 are extremely high. What meds

did your doc put you on? They seem to be working very well.

What are your PP readings? (Post Prandial = after meals)

Meenie

> Yes, I am checking my blood levels. In the morning it may be around 133,

but

> after my meds it starts to go down and stays at normal levels (between 90

and

> 110) all day and evening. I love vegetables, so the 1200 calorie diet is

> working great. I eat the amounts suggested for my carbs and proteins and

> fruits, and fill in with lots of vegetables. I think these readings are

> great considering a month ago I had levels of over 444 with a A1C of 15.5.

>

>

>

>

[Guest guest]

I hope the glucophage doesn't cause you any tummy upsets. A lot of people

have trouble with that. If you do, taking it with your meals can really

help a lot.

As your bg's normalize, watch the glucotrol - it can cause lows. I took a

similar med at first and had to get off of it, had terrible lows

particularly at night. Another reason I went with low carb. Eating low

carb helps to normalize your insulin output so you don't have the big swings

in bg's, also don't get the cravings that you get when your insulin level is

too high.

I'm off all meds now and bg's are normal.

Meenie

> I am on 500mg of glucophage and 2.5 mg of glucotrol XL in the am with

> breakfast. I take another 500mg of glucophage with my evening meal. My

test

> after breakfast does not change much till my meds kick in a few hour

later.

> My tests after lunch are around 110. My test after dinner is around 96.

>

>

>

>

[Guest guest]

Sounds to me like the ADA is working great for you just as it is with me. I

need to lose weight also and they started me off at 1500 calories. I never

was much of a meat eater so I don't find the ADA diet very restrictive. The

biggest adjustment for me has been in portion size. I really am satisfied

with portions smaller than I was previously used to. I was diagnosed in

December and my bg's were 320 - 475. I was started on glucophage 500mg 2

times a day and they came down to about 175. Since then with the ADA and

losing weight weekly and exercising daily, they have been coming down daily

and I am now running between 100 and 115 (all day). With the ADA diet (if

followed correctly) my carbs are spread out throughout the day. They are

not all lumped together. The atkins diet isn't the only diet that can keep

your bg's evened out.

Kim

>From: TAK050600@...

>Reply-To: diabetes

>To: diabetes

>Subject: Re: Protein Sparing Modified Fasts

>Date: Fri, 26 Jan 2001 17:15:43 EST

>

>Yes, I am checking my blood levels. In the morning it may be around 133,

>but

>after my meds it starts to go down and stays at normal levels (between 90

>and

>110) all day and evening. I love vegetables, so the 1200 calorie diet is

>working great. I eat the amounts suggested for my carbs and proteins and

>fruits, and fill in with lots of vegetables. I think these readings are

>great considering a month ago I had levels of over 444 with a A1C of 15.5.

>

>

>

_________________________________________________________________

Get your FREE download of MSN Explorer at http://explorer.msn.com